MRS. JENNIFER NICKLAS, CCC-SLP

Speech-Language Pathologist

Active Individual
NPI: 1770706038

Practice Address

1115 FAIRGROUNDS RD
Jefferson City, MO 65109

Phone: (573) 634-3070

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 2009005833 (MO)

Frequently Asked Questions

NPI 1770706038 is the National Provider Identifier for MRS. JENNIFER NICKLAS, CCC-SLP, a Speech-Language Pathologist provider located in Jefferson City, MO. This NPI was enumerated on April 11, 2007.
MRS. JENNIFER NICKLAS, CCC-SLP practices at 1115 FAIRGROUNDS RD, Jefferson City, MO 65109.

Quick Facts

NPI
1770706038
Type
Individual
Enumerated
Apr 11, 2007
Last Updated
Apr 7, 2009

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